Individual provider Active NPI

Gayle A. Cheatwood, DDS

  • Dentist
  • Holtville, CA
National Provider Identifier
1891799359
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
24956 Issued in CA
Practice address
538 Holt Ave
Holtville, CA 92250-1216
Phone
(760) 356-2821
NPI assigned
Jun 11, 2005
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 24956 CA Primary

Addresses

Primary practice location

538 Holt Ave
Holtville, CA 92250-1216

Mailing address

538 Holt Ave
Holtville, CA 92250-1216
Phone (760) 356-2821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160609001612 CA Order and Referring Only - DentistPractitioner - Dentist 1850681495

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1891799359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 HOLT AVE",
            "city": "HOLTVILLE",
            "state": "CA",
            "postal_code": "922501216",
            "telephone_number": "760-356-2821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 HOLT AVE",
            "city": "HOLTVILLE",
            "state": "CA",
            "postal_code": "922501216",
            "telephone_number": "760-356-2821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEATWOOD",
        "first_name": "GAYLE",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-11",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "24956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holtville, CA

Sources for this page

Verify at the official NPI Registry.